l n Ap icati Form Nop o000 1

g i r C i l a Re istrat on f m for hr stian pi grimg e o

E TKITI STA E

KF NON OWIA LT EDN GUO E F

Go e n ri n P , ov rnme t P nti g ress Ad -Ekiti

AFFIX5

PHOTOGRAPH

.............................................Date

.............................................Registrar

TELEGRAMSPRIVATE MAIL BAG NO 5341

TELEPHONE........................................

CHRISTIAN PILGRIMS’ WELFARE BOARD OFFICE OF THE GOVERNOR

ADO-EKITI, EKITI STATE OF NIGERIA.

Your Ref No..........................................................All Communications should be addressedto the Secretary, Ekiti State Christian Pilgrims’ Welfare Board, quotingOur Ref: No.......................................................... Date..........................................................

Please answer the following questions

1.0 HAVE YOU ALWAYS BEEN A CHRISTIAN?

F NO, WHAT WAS YOUR RELIGION AND WHEN DID YOU BECOME A CHRISTIAN?

2.0 CHURCH Name............................................

Location.......................................

Name of Priest/Pastor or heading the Church.......................

Recommendation by the Priest/Pastor or his recongized representative and date..................................

3.0 HAVE YOU EVER BEEN ON PILGRIMAGE?

WHEN AND ALSO PROVIDE DETAILS OF PASSPORT (S) YOU USED..................................................

4.0 HAVE YOU EVER BEEN DEPORTED FROM ANOTHER COUNTRY? IF YES, PROVIDE DETAILS ..................................................................

........................

5.0 HAVE YOUR APPICATION FOR PILGRIMAGE EVER BEEN REJECTED? IF YES PROVIDE

DETAILS...........................................................

6.0 DO YOU HAVE RELATIONSHIP WITH ANY ONE IN ISREAL? IF YES, PROVIDE DETAILS

. ...................................................

0008 SPONSOR’S

Name ............................................................

Nationality.................................................

Address......................................................

Relationship..............................................

REQUIREMENTS

1. Two (2) Extra Photocopies of the Applicant forms

2. Four (4) Passport Photograph

3. Three (3) copies guarantor’s Passport Photograph

4. Letter from your Church